Piles and Fissures. Without surgery?

Hi Docs ,I just need to know if anyone can help me with this worse condition I am having without surgery? At least to lead a normal life. I am suffering from this since 7 years, it appears first time when I was on medication for cold and cough. I got very hard stools which resulted bleeding. Then from then on, I stopped taking hard medicine. But the effect it never went. I tried almost evry type of medicine from doctors , nothing worked out. Now I don't feel urge to pass. It's like Until I take any laxatives ,I dont feel any pressure if even after two days ,Its just make feel a lit uncomfortable. Waiting for urge naturally just makes things worse for me. I feel like broken glasses are tearing me. It's a hellish feeling. I just want to get it normal. I don't eat junk foods, I don't think I have regular Gas issues, It Doesn't bleed anymore, but it does bleed if I dont take laxatives. But doesn't matter now if I have even normal stool , still its very painful. Help me!.